Use arrow keys to move forward or backward through presentation This is the Treatment Plan Form The Doctor must fill this form out at the first exam and all re-exams until the patient is released from care. The Doctor MUST fill one of these out at the final exam, making recommendations that the patient continue home exercises, home traction devices, etc. Use arrow keys to move forward or backward through presentation

This is the Treatment Plan Form The Doctor must fill this form out at the first exam and all re-exams until the patient is released from care. The Doctor MUST fill one of these out at the final exam, making recommendations that the patient continue home exercises, home traction devices, etc.

Use this form to document the treatment to be delivered to the patient Use this form to document the treatment to be delivered to the patient. This form tells Colossus both your in-office treatment and your patient’s home treatments.

CPT Codes This form contains CPT codes for 2 reasons CPT Codes This form contains CPT codes for 2 reasons. It helps the office biller work more quickly AND helps the Colossus data entry person work more quickly to settle the claim. If the Claim Adjuster’s job becomes easier to give the patient more money, the lien is paid much, much faster.

Cervical Spine 98940(1)(2) tells the office and the claims adjuster that manipulations were done on the spine in 1 to 5 regions. If only the cervical box is checked, the office will bill 98040. If there are boxes checked in cervical, thoracic, lumbar and pelvis/sacrum, the office will bill 98942 (5 regions, since pelvis and sacrum are 2 regions)

Cervical Spine Massage is a timed therapy Cervical Spine Massage is a timed therapy. If the patient gets an hour massage, it should be divided up on this form among the 6 body areas for 2 important reasons: (1) That is how massage therapists do hour massages (2) That tells Colossus that 6 body parts received massage. When every body area gets massage therapy, Colossus will give more points and a higher and faster settlement for the patient (liens are paid faster that way.)

Cervical Ultrasound Ultrasound is a timed, as well as passive therapy (just like massage) This makes it easy for the claims adjuster to see and find each and every therapy done in the office (and at home) so everything gets input into the computer Colossus. All passive therapies have a 1 to 1 value in Colossus. Active therapies get a 3 times multiplier and Colossus gives more points for active therapies like: Therapeutic Exercises in office Home neck exercises Bed Rest (yes, bed rest is considered an “active” therapy by Colossus.

Cervical Spine Massage is a timed therapy Cervical Spine Massage is a timed therapy. If the patient gets an hour massage, it should be divided up on this form among the 6 body areas for 2 important reasons: (1) That is how massage therapists do hour massages (2) That tells Colossus that 6 body parts received massage. When every body area gets massage therapy, Colossus will give more points and a higher and faster settlement for the patient (liens are paid faster that way.)

Cervical Spine Active therapies get a 3x multiplier value in Colossus compared to passive therapies like massage, manipulation, and ultrasound. Active therapies done more than 2 times per week are considered “intensive” which gets a 3x multiplier in Colossus. Active therapies done longer than 90 days is “prolonged” which gets a 3x multiplier. Thus, 3 x 3 x 3 = 27x the value

Cervical Spine Home traction (e. g Cervical Spine Home traction (e.g. cervical pillow) is an active therapy If done 7 days a week it is “intensive.” If done for >90 days, it is “prolonged” Thus, 3 x 3 x 3 = 27x the value

Cervical Spine Bed Rest is an active therapy If done 7 days a week it is “intensive.” If done for >90 days, it is “prolonged.” (doesn’t the patient rest in bed every night???) Thus, 3 x 3 x 3 = 27x the value

Cervical Spine Home Ice Pack is a passive therapy Cervical Spine Home Ice Pack is a passive therapy. If done 7 days a week it is “intensive.” If done for <90 days, it is “short term.” Thus, 1 x 3 x 1 = 3x the value

Cervical Spine Massage is a passive therapy Cervical Spine Massage is a passive therapy. If done 3x/week it is intensive. If done >90 days it is “prolonged” Thus, 1 x 3 x 3 = 9x the value See how the passive therapies don’t add up to fast or big PI settlements?

Cervical Spine Telling the patient to go to the gym to work out is another active therapy (in addition to home neck exercises) If done >2x/week, it is intensive. If done >90 days, it is prolonged. If you advise the patient to start going to the gym 3x/week at the first re-exam, chances are they will have done it (or at least been told to on your paperwork) >90 days by the time the patient is released. Thus, 3 x 3 x 3 = 27x the value

Cervical Spine An inexpensive cervical collar is “stabilization” in Colossus. If worn 3 or more days a week, it is “intensive.” If used >90 days, it is “prolonged.” Hmmm… it might be a good idea to have the patient stabilize their neck when in the car throughout their entire treatment plan, just in case they get in another accident, they have some “stabilization.” Thus, 3 x 3 x 3 = 27x the value

Lumbar Spine Home Stabilization is an active therapy Lumbar Spine Home Stabilization is an active therapy. Putting the patient in a lumbar “stabilization” belt more than 3 days a week is “intensive” Use of it 3 days a week (at work for example) for >90 days is “prolonged.” Thus, 3 x 3 x 3 = 27x the value

Whole Body If home therapeutic exercises are done 3 or more times a week for more than 90 days and 6 body areas get exercised in the process (hard not to exercise the arms when exercising the upper back) 3 x 3 x 3 x 6 = 162x the value Doctors, please just write it down

3x the Medical Bills? Colossus doesn’t even figure in the medical bills when determining the settlement offer. What happens is, all the points (especially with the multipliers) are added up, then a dollar value is figured based on the points, then the medical bills are simply added on at the end (a 1x factor). The REAL value is Active Therapies Intensive (3+ times a week) Prolonged (>90 days)

Brain Injuries Many brain injuries cause excessive sleep Brain Injuries Many brain injuries cause excessive sleep. If the patient takes a nap during the day, that is “Bed Rest” Active Therapy (Bed Rest) Intensive (3+ short naps a week) Prolonged (>90 days) 3 x 3 x 3 = 27 times the points if the patient takes naps… but only if you write it down !!!

Brain Injuries Home Cognitive Therapy is “active” 3+ times a week is “intensive” >90 days is “prolonged” 3 x 3 x 3 = 27 times the points if you tell the patient to play video games, do crossword puzzles, play cards, bounce a ball off the wall, do anything with hand-eye coordination…if you write it down !!!

Anxiety & Depression Must be “treated” Colossus considers them “treated” if the patient does exercise, medicates, avoid stressful activities, and rests in bed. Hmmm… home exercises, gym exercises, and in-office exercises can be used as a 3x multiplier for nearly every injury the patient has.

Cane/Orthotics Big points are awarded if the doctor prescribes the use of a cane, crutches, or orthotics. If the patient has a “difficulty walking” diagnosis, any of these might be useful. Orthotics are easy to prescribe and use. It is a form of “stabilization”

TENS Units Big points are awarded when the doctor prescribes a TENS unit for home use. If used 7 days a week, it is “intensive.” If used >90 days, it is “prolonged.” At $50 wholesale cost, sell them at $75 to $100. It’s not the profit in selling it you care about… the case settles faster and for more money. Your lien gets paid much faster.

TMJ This is “extraspinal”, so if you adjust the TMJ, it is a 98943 If temporalis, buccinator, or pterygoid massage is done, that is both physiotherapy and massage therapy. A $70 mouth splint is used 7 nights a week (intensive) for >90 days (prolonged) 3 x 3 = 9x value Soft food diet is also “restricted TMJ activity, so 2 boxes get checked when you give the patient these home care instructions (see www.HBTinstitute.com)

In Summary… Introduce “active” therapies ASAP Document on the Treatment Plan form how often to do the “home” therapies Document on successive Treatment plans the continued instruction to keep using them. Use fewer “passive” therapies and more “active” ones.

More Summary… The Treatment Plan Form is filled out at first exam, each re-exam, & final. There will be 3 to 6 of these when you are ready to write the narrative report. Make sure they include “treatment” that patient will continue to do at home after the Doctor stops treating the patient in the office.

The End